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1669806055
SHANE ANTHONY BLACKMORE
NEW YORK, NY
NPI
1669806055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: NY P89608)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
Dr. SHANE ANTHONY BLACKMORE MD
301 E 17TH ST ROOM 1402
NEW YORK, NY 10003-3804
Phone number: 212-598-6509
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Mailing Address
Dr. SHANE ANTHONY BLACKMORE MD
2 COOPER SQ 9C
NEW YORK, NY 10003-7153
Phone number: 347-463-3405
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